New behavioral health standards were announced in this month’s Perspectives. These standards revisions added a fifth EP. It states, when “clinically relevant,” behavioral health organizations must consult other physical healthcare services providers. Furthermore, if obtaining information from those organizations isn’t possible, it requires documentation. In addition, the standard necessitates quantifying the reasons. The difficulty with the wording is “clinically relevant.” The subjective term “treating the patient”and the clinical team’s interpretation creates issues. The biggest challenge, how surveyors define the term “treating your patient.”
New Behavioral Health Standards
CTS.02.01.11, EP 1 changed from just requiring a nutritional screening to now requiring a nutritional screening touches on at least 5 different screening issues. These issues include:
- Food allergies
- Weight loss or gain of more than 10 lbs. in the last 3 months
- Decrease in food intake or appetite
- Dental problems and eating habits or behaviors that may be indicators of an eating disorder
For those readers using an EMR, this may require some modification to your existing screening questions or prompts.
CTS.05.05.09, EP 1 now requires anyone applying a physical hold on a child to be an authorized individual. Policies and procedures should state this.
CTS.05.06.35, EP 18 will now specifically require a debriefing after use of a physical hold on a child. RC.02.01.05 establishes the documentation expectations after each episode of a physical hold. It includes addressing 14 specific data elements. Organizations using either a paper or EMR should prepare a template document. This allows the staff to construct very specific documentation and meet requirements.